Exhibit 4 - Pricing Pages.docx
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- Attached to
- Insurance Broker of Record Services
- Solicitation number
- 300000235099511
- Issued by
- Missouri
About this file
This is a Pricing Page exhibit for a Request for Proposal issued by the Missouri Department of Transportation (MoDOT) seeking qualified Insurance Brokerage firms to serve as Broker of Record and provide insurance and risk management consulting services. The RFP requires proposals to be submitted electronically via the MissouriBUY MOVERS website by 2:00 PM CST on June 16, 2026. The contract includes an original contract period and two renewal periods, with pricing submissions required for each term.
Offerors must provide guaranteed, not-to-exceed pricing on an hourly basis for four primary service categories: Insurance Marketing (commission rate basis), Risk Management Consulting, Loss Prevention/Safety Consulting, and Technical Risk Management Services. Under Technical Risk Management Services, separate hourly rates are required for Actuarial Analysis/Loss Forecasting, Risk Finance Evaluation, Claims Administration Evaluation, and Information Systems Evaluation. All costs associated with providing the required services must be included in the stated guaranteed, not-to-exceed total prices. Pricing must be submitted for the Original Contract Period, First Renewal Period, and Second Renewal Period, with each section requiring the offeror's printed or typed name, mailing address, city, state, zip code, signature, and date.
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Other files
| File | Type | Posted |
|---|---|---|
| MODOT 0000000279SL_SUPPLIER.pdf |
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Text version
EXHIBIT 4
PRICING PAGE
The Offeror shall provide a guaranteed, not-to-exceed total price for each of the following services. All costs associated with providing the required services shall be included in the stated guaranteed, not-to-exceed total prices.
Original Contract Period
1.) Insurance Marketing – Please identify the standard commission rate paid to your firm for the placement of standard coverages identified in the scope of work.
___________________________/hr.
2.) Risk Management Consulting – Please provide a firm, fixed hourly fee for the Risk Management consulting services identified in the scope of work.
______________________________/hr.
3.) Loss Prevention/Safety Consulting – Please provide a firm, fixed hourly fee for the loss prevention/safety consulting services identified in the proposed scope of work.
_____________________________/hr.
4.) Technical Risk Management’s Services – Please provide a firm, fixed hourly fee for the technical Risk Management services identified in the scope of work.
4.1 Actuarial Analysis/Loss Forecasting _________________/hr.
4.2 Risk Finance Evaluation _________________/hr.
4.3 Claims Administration Evaluation _________________/hr.
4.4 Information Systems Evaluation _________________/hr.
Offeror Printed or Typed Name:___________________________________________________ Mailing Address:_______________________________________________________________ City:___________________________State:_______________________Zip:_______________
First Renewal Period
1.) Insurance Marketing – Please identify the standard commission rate paid to your firm for the placement of standard coverages identified in the scope of work.
__________________________ /hr.
2.) Risk Management Consulting – Please provide a firm, fixed hourly fee for the Risk Management consulting services identified in the scope of work.
______________________________/hr.
3.) Loss Prevention/Safety Consulting – Please provide a firm, fixed hourly fee for the loss prevention/safety consulting services identified in the proposed scope of work.
_____________________________/hr.
4.) Technical Risk Management’s Services – Please provide a firm, fixed hourly fee for the technical Risk Management services identified in the scope of work.
4.1 Actuarial Analysis/Loss Forecasting _________________/hr.
4.2 Risk Finance Evaluation _________________/hr.
Signature Date
Second Renewal Period
1.) Insurance Marketing – Please identify the standard commission rate paid to your firm for the placement of standard coverages identified in the scope of work.
__________________________ /hr.
2.) Risk Management Consulting – Please provide a firm, fixed hourly fee for the Risk Management consulting services identified in the scope of work.
______________________________/hr.
3.) Loss Prevention/Safety Consulting – Please provide a firm, fixed hourly fee for the loss prevention/safety consulting services identified in the proposed scope of work.
_____________________________/hr.
4.) Technical Risk Management’s Services – Please provide a firm, fixed hourly fee for the technical Risk Management services identified in the scope of work.
4.1 Actuarial Analysis/Loss Forecasting _________________/hr.
4.2 Risk Finance Evaluation _________________/hr.
Signature Date
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